Rhinoplasty is among the five most popular plastic surgery procedures performed in the United States, with more than 200,000 procedures performed in 2013 alone.  During the procedure, a plastic surgeon sculpts the cartilage and bone of the nose to achieve a patient's desired look. For men and women who are unhappy with the size and shape of their nose, rhinoplasty, otherwise known as nose reshaping surgery or a "nose job," offers a safe, effective, and time-tested cosmetic solution. When performed by an experienced, skilled cosmetic surgeon, rhinoplasty can greatly improve the balance of facial features, helping patients discover newfound confidence. Rhinoplasty can also be used to correct structural defects, including those that cause breathing problems.
Rhinoplasty is one of the most popular cosmetic surgeries among teenagers. It is important for teenage patients and their surgeons to consider whether or not nose reshaping is an appropriate cosmetic surgery option. Doctors should ensure that the decision to undergo rhinoplasty is the patient's own choice, rather than the result of peer or parental pressure. Regardless of the reason for surgery, doctors recommend that girls wait until age 14 or 15, and that boys wait a few additional years to undergo rhinoplasty. By this time, the nose should have finished growing.
The advantages of a surgical rhinoplasty are many. *One is that once the procedure is completed, the results are phenomenal and you do not have to maintain the results.* *Another advantage is that once paid for, there are no additional costs afterwards.* With a non-surgical nose job, the costs are spread out over time, however, will end up being more expensive in the long run if people pay for it year after year versus paying in full for a surgical rhinoplasty. There are risks involved with any type of surgery and a rhinoplasty is no different. However, choosing a reputable surgeon and well-rated plastic surgery centre will minimize those risks. There is also consideration of the factor of the 7-10 days off of work and your usual daily routine that is recommended to recover from rhinoplasty surgery. However, most nose surgery patients don’t mind the down-time and recovery in exchange for the long-term gains.
Rhinoplasty is unique in that the final results of the surgery can take up to one full year to develop. Side effects such as swelling and bruising around the nose and eyes can hinder the appearance of the nose for the first two to three weeks. While more obvious changes may be visible in the first weeks following surgery, most individuals will need to be patient in regards to the final outcome. In the months following surgery the nose will begin to settle in to its final shape. Because the final results of rhinoplasty take a significant amount of time, doctors usually discourage patients from undergoing revision rhinoplasty until a full year has passed.
Both anesthesiologists and registered nurse anesthetists can administer anesthesia. An anesthesiologist is a specially trained physician who will administer anesthesia and monitor your vital signs during surgery. A registered nurse anesthetist has specialized training to do the same. However, while a registered nurse's services can cost about $300 per hour, an anesthesiologist's services can cost closer to $500 per hour.
Revision (secondary) rhinoplasty is a cosmetic surgery that is performed when a patient is not satisfied with the outcome of his or her initial procedure. In some cases, patients may be unhappy with the appearance of their noses, while others may experience functional difficulties after surgery. Additionally, a patient may need a secondary procedure if he or she suffers traumatic injury following the first nose reshaping surgery.
When patients are researching their payment options, they should also consider third-party financing. Many lenders offer fixed-interest repayment plans. Patients who pay within a specific time frame may even be eligible for a no-interest plan. A doctor's office team can explain more about these options and help patients choose the repayment schedule that best fits their budget.
Beverly Hills plastic surgeon Dr. Brent Moelleken notes in a RealSelf Q&A that “By nature, surgery causes soreness, and patients are usually restricted from full workouts for a period of time after surgery. This explains the weight gains often noticed immediately afterward.” But it’s important to get back into the habit as soon as you’re able. “Some patients gain a false sense of confidence after their liposuction procedure,” he says. “If anything, patients should plan on being more active and healthier about their eating habits after surgery than they were before.”
In recent years, significant advancements have been made with dermal fillers. For the most part, Injectable Fillers now contain Lidocaine, which is a freezing agent mixed into the actual injectable filler product. Lidocaine works to numb the region being injected so that the patient usually does not feel any pain. That means increased comfort and ease for patients who want a non-surgical rhinoplasty.
Most of our liposuction patients opt to have their procedures performed at our clinic because they appreciate the personal attention of our registered nurses and the pleasant environment of our private facility. However, because Dr. Weinberg is Division Head of Plastic Surgery at Trillium Health Centre, arrangements can easily be made for those patients who may wish to have their procedure in the hospital, such as those having large volumes of fat removed or patients with significant health issues.
"Sometimes, a good reputation is well deserved, and sometimes it's merely hype and marketing," Dr. Naderi said. "There are reality show plastic surgeons who charge high fees, for example, based on their television exposure and publicity. Then, there are well-known plastic surgeons in the field who focus mainly on nose surgery and are true specialists."
Apart from the plastic surgery itself, the patient would also need to consider extra costs that are not included in the price quote they receive. These can comprise of the cost of prescription drugs the patient may need to take, the surgical garments required for after the surgery, and the costs of medical tests if necessary, among others. It should be noted, though, that some plastic doctors exclude the anaesthesiologist's fee and operating room charges from their quote, so it is always recommended to read the small letters or ask what's included in the offered package so you can have the right overall cost estimate for the Brazilian buttock augmentation.
After the patient is sedated, the surgeon creates tiny incisions inside the nostrils or on the columella. Then he or she carefully lifts the skin to access the underlying bone and cartilage. The surgeon can then remove or graft tissues, as needed. Typically, a doctor uses conservative methods to minimize the impact to the surrounding tissues while still achieving the desired results. When the reshaping process is complete, the doctor lays the skin back down over the new contours of the nose and closes the incisions.
Ethnic rhinoplasty uses the same methods as other forms of nose reshaping surgery. Typically, ethnic rhinoplasty refers to procedures performed on individuals of African American, Afro-Caribbean, Asian, Hispanic, and Middle Eastern descent. These patients typically have softer nasal contours, and the doctor takes special care to preserve the unique features of a these patients' faces.
Naturally, patients should choose a doctor who has a good reputation for success. Individuals should ask friends, family, and general practitioners for recommendations. Additionally, all state medical boards are required to make a doctor's information public. Patients may access these records to look for any past lawsuits or infractions. In many areas, these records are available online, but in some states, they can only be accessed through the mail.
Revision rhinoplasty is similar to primary rhinoplasty, and it can be performed as an "open" or "closed" procedure. In closed rhinoplasty, the surgical incisions are made inside the nose to eliminate the appearance of scarring. With open rhinoplasty, an additional incision is made across the columella. While this leaves a small scar, it gives the surgeon more access to the nasal tissue and bone. The goals of your rhinoplasty revision will dictate the type of surgery you receive.